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Which to complete?
For Clarity Call
For 1st Breakthrough Session (Full Intake)
- Pre-Application (5-10 min)
- WellBeing Assessment (3 min)
- Stress Assessment (2 min)
- PTS Assessment (2 min)
- Coaching Agreement (6-7 min)
Optional
- General Questionnaire (10-15 min)
* CLARITY CALL REQUEST
* CLARITY CALL REQUEST
* CLARITY CALL REQUEST
Initial Chat to determine fit and next steps. Open for questions about services.
1. Pre-Application
* CLARITY CALL REQUEST
* CLARITY CALL REQUEST
Helps your Coach understand your initial goals and determine if your needs appear as a fit for assistance here.
2. WellBeing
* CLARITY CALL REQUEST
2. WellBeing
Self-Assessment status of current Well Being and Life Satisfaction. (not for diagnosis)
3. StresS
Coaching Agreement, Disclosure, Consent
2. WellBeing
Self-Assessment status of current general depression, anxiety, and stress levels within the last week. (not for diagnosis)
4. PTS
Coaching Agreement, Disclosure, Consent
Coaching Agreement, Disclosure, Consent
Self-Assessment status of current PTS or PTSD level (post traumatic stress) within the last 30 days. Test is the civilian version. (not for diagnosis)
Coaching Agreement, Disclosure, Consent
Coaching Agreement, Disclosure, Consent
Coaching Agreement, Disclosure, Consent
Coaching Agreement, Disclosure, Informed Consent.
6. General Questionnaire
6. General Questionnaire
6. General Questionnaire
OPTIONAL. Provides Coach details of where you are, have been and would like to go.
Insights & Feedback
6. General Questionnaire
6. General Questionnaire
Complete Same Day after Each Session. Helps you reflect on session Insights Gained and helps your Coach help you better. (takes 5 minutes or less)
diagnosis & crises
6. General Questionnaire
diagnosis & crises
Coaches do not provide a diagnosis. If you need emergency, professional or medical care, seek such care.
If Suicidal: in the USA, call 911 or go to Hospital Emergency Room or call or text 988
privacy/securiTY
privacy/securiTY
diagnosis & crises
Privacy & Security (Coaching):
We provide coaching services and are not a HIPAA covered entity. HIPAA may not apply to our coaching relationship.
We do, however, use secure, access-controlled tools (including a form provider with a signed BAA) to help protect your information.
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Seeking ‘talk therapy’? This practice is different — no talk therapy. This practice offers Christian coaching for emotional and spiritual support and practical tools to calm the body. It is not counseling, psychotherapy, crisis care, or medical treatment, and it does not diagnose or treat mental disorders. If you need mental health or medical care, please seek an appropriately licensed professional. If you are in crisis or need urgent help, call emergency services or go to the nearest emergency room. Individual results vary.
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